本文選題：隱睪 + 超聲定位　； 參考：《重慶醫(yī)學(xué)》2017年17期

【摘要】：目的觀察超聲定位下髂腹股溝及髂腹下神經(jīng)阻滯在小兒隱睪手術(shù)中的臨床效果。方法選取擇期行隱睪手術(shù)患兒60例,隨機(jī)分為髂腹股溝及髂腹下神經(jīng)阻滯復(fù)合靜脈全身麻醉(簡(jiǎn)稱全麻)組(A組)和骶管阻滯復(fù)合靜脈全麻組(B組)。記錄入手術(shù)室時(shí)(T_0)、手術(shù)切皮時(shí)(T_1)、手術(shù)結(jié)束時(shí)(T_2)各時(shí)間點(diǎn)患兒的心率、血氧飽和度(SpO_2)和平均動(dòng)脈壓(MAP)的變化;記錄麻醉起效時(shí)間、蘇醒時(shí)間、術(shù)中芬太尼、丙泊酚追加次數(shù)及術(shù)中、術(shù)后患兒不良事件發(fā)生情況;比較兩組患兒蘇醒時(shí)(T_3)、術(shù)后1h(T_4)和術(shù)后2h(T_5)時(shí)的疼痛行為評(píng)估量表(FLACC)評(píng)分。結(jié)果兩組患兒SpO_2和MAP在各時(shí)間點(diǎn)比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);A組麻醉起效時(shí)間明顯短于B組(P0.05);兩組術(shù)中及術(shù)后不良反應(yīng)發(fā)生率低且差異無統(tǒng)計(jì)學(xué)意義(P0.05),兩組蘇醒時(shí)間及術(shù)后鎮(zhèn)痛效果比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論超聲定位下髂腹股溝及髂腹下神經(jīng)阻滯應(yīng)用于小兒隱睪手術(shù)麻醉效果安全有效,且方法簡(jiǎn)單、易于實(shí)施、起效較快,有利于患兒術(shù)中管理。
[Abstract]:Objective To observe the clinical effect of ilio inguinal and ilio hypogastric nerve block under ultrasound localization in children's cryptorchidism operation. Methods select 60 children with cryptorchidism, randomly divided into the ilio groin and ilioferastric nerve block combined general anesthesia (general anesthesia) group (group A) and the sacral block compound intravenous general anesthesia group (group B). The rate of heart rate, oxygen saturation (SpO_2) and mean arterial pressure (MAP) of the children at the time of operation (T_2) at the time of operation (T_0), the time of oxygen saturation (SpO_2) and the mean arterial pressure (MAP) at the end of the operation; the time of onset of anesthesia, the time of awakening, the number of fentanyl, the number of propofol in the operation, the incidence of adverse events in the operation, and the incidence of adverse events in the children after the operation; and the comparison between the two groups of children (T_3). The pain behavior assessment scale (FLACC) score of post 1H (T_4) and postoperative 2H (T_5). Results the difference of SpO_2 and MAP in the two groups was not statistically significant (P0.05), and the onset time of the A group was significantly shorter than the B group (P0.05); the incidence of adverse reactions in the two groups was low and the difference was not statistically significant (P0.05), and the two groups of awakening time. There is no significant difference in the effect of postoperative analgesia (P0.05). Conclusion the anesthesia effect of ilio inguinal and ilio hypogastric nerve block under ultrasonic localization in the operation of cryptorchidism in children is safe and effective, and the method is simple, easy to implement, rapid and beneficial to the management of children's operation.

【作者單位】： 南京醫(yī)科大學(xué)附屬兒童醫(yī)院麻醉科;
【分類號(hào)】：R726.1

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本文編號(hào)：1785237